HB470Introduced in the House of Delegates
Medicaid waivers; consumer-directed services, employer of record.
Introduced by Laura Jane Cohen, District 15
What does this bill do?
Plain-English breakdown
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Official description
Department of Medical Assistance Services; Medicaid waivers; consumer-directed services; employer of record. Directs the Department of Medical Assistance Services (DMAS) to modify the program rules for consumer-directed services available through certain Medicaid waivers to allow an individual receiving services to serve as the employer of record (EOR) for his own service delivery and designate another individual to perform all or a portion of the duties of the EOR on the individual's behalf when the individual receiving services is unable to perform such duties or direct his own care. The bill specifies that when an individual (i) has not yet reached the age of majority, (ii) is ineligible to use his existing employer identification number (EIN) to facilitate the taxation of benefits, or (iii) is otherwise determined to be ineligible by DMAS by administrative rule, the EIN shall be assigned to the individual receiving services and shall not be transferred to another individual. Under the bill, DMAS has the authority to limit such amendments to specify that an individual receiving services may make such designation no more than twice per calendar year.
Where it stands
Continued to next session in Finance and Appropriations (12-Y 3-N)
March 4, 2026
How did lawmakers vote?
House of Delegates votes
5 recorded votes · each counted separately
Senate votes
2 recorded votes · each counted separately
SenateStage: Continued to next session in Finance and Appropriations (12-Y 3-N) · March 4, 2026
12
Yes
3
No
0
Absent or Not Voting
15 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.
What do people think?
Citizen Voice
How would you vote on this bill?
An unofficial public opinion poll. It does not affect the bill or the official vote.
One response per device. Location is self-reported and not verified. Results are informal and not a scientific survey.
See how each senator voted
| Senator | District | Vote |
|---|---|---|
| Mark Obenshain | 2 | No |
| Todd Pillion | 6 | Yes |
| Creigh Deeds | 11 | Yes |
| Lashrecse Aird | 13 | Yes |
| Lamont Bagby | 14 | Yes |
| Louise Lucas | 18 | Yes |
| Aaron Rouse | 22 | Yes |
| Mamie Locke | 23 | Yes |
| Richard Stuart | 25 | Yes |
| Ryan McDougle | 26 | No |
Bill history
Prefiled and ordered printed; Offered 01-14-2026 26104032D
Referred to Committee on Health and Human Services
Fiscal Impact Statement from Department of Planning and Budget (HB470)
Assigned sub: Social Services
Subcommittee recommends reporting and referring to Appropriations (8-Y 0-N)
Reported from Health and Human Services and referred to Appropriations (21-Y 1-N)
Assigned HAPP sub: Health & Human Resources
Subcommittee recommends reporting (7-Y 0-N)
Reported from Appropriations (20-Y 0-N)
Fiscal Impact Statement from Department of Planning and Budget (HB470)
Read first time
Read second time and engrossed
Read third time and passed House (93-Y 3-N 0-A)
Constitutional reading dispensed (on 1st reading)
Referred to Committee on Education and Health
Reported from Education and Health and rereferred to Finance and Appropriations (13-Y 0-N)
Continued to next session in Finance and Appropriations (12-Y 3-N)
Verify the information
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